Proximal jejunal GIST associated with massive gastrointestinal bleeding. Case report




José J. Vargas-Montes, Departamento de Cirugía Digestiva y Endocrina, Centro Médico Nacional del Noreste, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 25, Instituto Mexicano del Seguro Social (IMSS), Monterrey, Nuevo León, México
Miguel E. Yado-López, Departamento de Cirugía Digestiva y Endocrina, Centro Médico Nacional del Noreste, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 25, Instituto Mexicano del Seguro Social (IMSS), Monterrey, Nuevo León, México
Pamela L. Huerta-Martínez, Departamento de Cirugía Digestiva y Endocrina, Centro Médico Nacional del Noreste, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 25, Instituto Mexicano del Seguro Social (IMSS), Monterrey, Nuevo León, México
Barbara I. Rojo-Rodríguez, Departamento de Medicina Interna, Centro Médico Nacional del Bajío, IMSS, León, Guanajuato, México
Antonio Tirado-Motel, Departamento de Medicina Interna, Hospital General Regional Dr. Manuel Cárdenas de la Vega, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Culiacán, Sinaloa, México


Introduction: Gastrointestinal stromal tumors (GIST) are rare, reported incidence is between 10 to 15 cases per million of habitants. They are usually located in the stomach (56%), small intestine (32%), colon-rectum (6%), and esophagus (<1%). Its symptoms include nausea, vomiting and abdominal fullness; 30% are asymptomatic. Incidental finding during abdominal surgery or imaging studies is common. Resection with negative margins is the standard treatment. Case report: A 69-year-old female patient who debuted with massive digestive tract bleeding, requiring surgical treatment. A tumor was detected at jejunum compatible with a GIST.



Keywords: Gastrointestinal Stromal Tumors. Jejunum. Small Intestine. Hemorrhage. Tumor.